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1174924880
KIMBERLY C BOACKLE
BIRMINGHAM, AL
NPI
1174924880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-072947)
Enumeration Date
2014-09-12
Last Update Date
2023-02-22
Business Address
KIMBERLY C BOACKLE CRNP
1515 6TH AVE S
BIRMINGHAM, AL 35233-1601
Phone number: 205-930-3204
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Mailing Address
KIMBERLY C BOACKLE CRNP
2147 RIVERCHASE OFFICE RD
HOOVER, AL 35244-1836
Phone number: 205-421-2088
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